Nurse Practitioner–founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient–provider relationship to enable nurse-led virtual and mobile care. By empowering nurses, reducing administrative burden, and supporting consistent, high-integrity clinical practices, we deliver compassionate, high-quality care through scalable, team-based, and data-driven care models that improve access, quality, and patient outcomes in the communities we serve.
Artificial intelligence is central to Avail Health’s strategy for delivering high-quality, scalable care to Medicare-age populations. Our AI/ML team designs and deploys production models that drive clinical documentation intelligence, risk adjustment accuracy, predictive population health analytics, and intelligent care-gap identification. We operate at the intersection of applied machine learning, clinical NLP, and healthcare data standards—building systems that must be both technically rigorous and clinically trustworthy.
Role Summary
The Senior AI/ML Engineer is core member of Avail Health’s technology team, responsible for researching, designing, training, and deploying machine learning models and NLP systems that power our clinical operations, risk adjustment workflows, and care delivery platform. This role requires deep hands-on expertise in the full ML lifecycle—from data engineering and feature development through model training, evaluation, and production deployment—with a strong emphasis on healthcare NLP, large language model (LLM) fine-tuning, and responsible AI in regulated environments.
This position reports directly to the Chief Technology Officer (CTO) and works cross-functionally with Clinical Operations, Product, Analytics, Quality, and Revenue Cycle teams to translate clinical and business objectives into high-impact ML solutions.
This is a full-time, offshore [AF1] [JH2] position. The role is fully remote and requires a reliable high-speed internet connection and a dedicated workspace to support secure communications and handling of protected health information (PHI). Flexibility is required to accommodate regular collaboration with U.S.-based teams across multiple time zones, primarily Eastern Time.
Position Overview
This is a hands-on senior individual contributor role with deep ownership over Avail Health’s ML and NLP capabilities. The Senior AI/ML Engineer will lead model development end-to-end: from problem framing and dataset curation through architecture selection, training, evaluation, and production deployment.
The ideal candidate brings deep expertise in training and fine-tuning large language models and applying NLP to unstructured clinical text—such as encounter notes, care plans, and structured EHR data—to extract meaning, support coding accuracy, and surface actionable insights. Experience working with healthcare data standards (HIPAA, HL7/FHIR, HCC/RAF scoring, ICD-10) and building models under regulatory constraints is essential.
This individual will also contribute to ML infrastructure and MLOps practices, mentor peers on applied ML methodology, and help establish the standards and architecture that will define Avail Health’s AI capabilities as the organization scales.
Key Responsibilities1. Model Development & Training
Design, implement, and train ML and deep learning models across a range of supervised, semi-supervised, and self-supervised learning paradigms. Fine-tune large language models (e.g., GPT-class, BERT-family, open-weight instruction-tuned models) for healthcare-specific tasks including clinical NLP, document classification, information extraction, and summarization. Apply structured training methodologies including RLHF, PEFT (LoRA, QLoRA), and instruction tuning. Rigorously evaluate models using domain-appropriate benchmarks and clinical validation frameworks.
2. Clinical NLP & Information Extraction
Build and maintain NLP pipelines for processing unstructured and semi-structured clinical text, including physician and nurse[AF3] encounter notes, care assessments, prior authorization documents, and discharge summaries. Develop and deploy named entity recognition (NER) models for clinical entities (diagnoses, medications, procedures, symptoms), relation extraction pipelines, assertion classifiers, and negation/uncertainty detection. Align NLP outputs to clinical coding standards including ICD-10-CM, HCC categories, and SNOMED CT where applicable.
3. Risk Adjustment & Predictive Analytics
Develop predictive models targeting Medicare Advantage risk adjustment workflows, including HCC coding accuracy, prospective RAF scoring, care-gap identification, and HEDIS/STARS measure prediction. Integrate model outputs into clinical operations tooling to surface actionable insights for care teams and coders. Design feedback loops and active learning mechanisms to improve model performance continuously against real-world clinical outcomes.
4. LLM Integration & Applied AI Systems
Design and implement production AI systems that leverage LLMs as core reasoning components, including retrieval-augmented generation (RAG) pipelines, multi-step agentic workflows, and structured extraction tools operating over FHIR-native clinical data. Evaluate and select foundational models, embedding strategies, and vector store architectures appropriate to clinical use cases. Ensure LLM deployments meet requirements for explainability, auditability, and clinical safety in a regulated healthcare context.
5. Cross-Functional Collaboration & Mentorship
Own data pipelines from clinical source systems (EHR, claims, FHIR APIs, ADT feeds) through feature engineering, dataset curation, and training/evaluation split construction. Build and maintain scalable data processing workflows using tools such as Spark, dbt, Airflow, or equivalent. Partner with data engineering to ensure ML feature stores are version-controlled, reproducible, and audit-ready.
6. MLOps & Production Deployment
Deploy and operate ML models in production using cloud-native MLOps patterns including containerized inference services, model registries, experiment tracking, drift monitoring, and automated retraining pipelines. Design for observability, latency SLAs, and graceful degradation. Maintain model documentation, versioning, and performance monitoring dashboards appropriate for a HIPAA-regulated environment.
7. Research, Collaboration & Mentorship
Remain current with the applied ML and clinical NLP research landscape, evaluating and integrating relevant advances into production workflows. Contribute to and/or lead internal ML research initiatives. Mentor junior ML engineers and data scientists through technical reviews, pair work, and structured knowledge sharing. Communicate model behavior, limitations, and tradeoffs clearly to clinical, product, and executive stakeholders.
Required Qualifications
Preferred Qualifications
What Success Looks Like
Job Type: Full-time
Work Location: Remote
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